3,546 results match your criteria Myofascial Pain


Assessment of predisposing factors in myofascial pain syndrome and the analgesic effect of trigger point injections - A primary therapeutic interventional clinical trial.

Indian J Anaesth 2019 Apr;63(4):300-303

Department of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India.

Background And Aims: Myofascial pain syndrome (MPS) is a common cause of chronic musculoskeletal pain, characterised by myofascial trigger points (TPs). TP injection is an established technique for management of MPS. In this study, we analysed the efficacy of myofascial TP injection of lignocaine and the influencing biomechanical factors on MPS. Read More

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http://dx.doi.org/10.4103/ija.IJA_6_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460974PMC
April 2019
1 Read

CHARACTERIZATION OF CERVICAL SPINE IMPAIRMENTS IN CHILDREN AND ADOLESCENTS POST-CONCUSSION.

Int J Sports Phys Ther 2019 Apr;14(2):282-295

University of Michigan-Flint, Flint, MI, USA.

Background: Patients with concussion may present with cervical spine impairments, therefore accurate characterization of cervical post-concussion impairments is needed to develop targeted physical therapy interventions.

Purpose: To characterize the type, frequency and severity of cervical impairments in children and adolescents referred for physical therapy after concussion.Study design: Retrospective, descriptive study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449018PMC
April 2019
1 Read

Ultrasound guided erector spinae plane block for myofascial pain syndrome.

J Clin Anesth 2019 Apr 13;57:121. Epub 2019 Apr 13.

Department of Surgery, Anesthesia and Intensive Care Section "G.B. Morgagni-Pierantoni" Hospital, Forlì, Italy.

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http://dx.doi.org/10.1016/j.jclinane.2019.04.016DOI Listing
April 2019
1 Read

Ramsay Hunt Syndrome Associated with True Vocal Cord Palsy- A Case Report.

Iran J Otorhinolaryngol 2019 Mar;31(103):115-118

Departments of Otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: Varicella-zoster virus may cause an infectious disease called Ramsay Hunt syndrome. The related symptoms include facial nerve palsy (FNP), otalgia, the vesicular eruptions of the auricle and external auditory canal, less common ocular movement disorder, facial hypoesthesia, myofascial pain, vestibular symptoms, hearing loss, dysphasia, vocal cord paralysis, as well as tongue paralysis due to cranial neuropathies.

Case Report: Herein, we presented the case of a 55-year-old man with left peripheral facial nerve palsy, profound hearing loss, and true vocal cord paralysis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449524PMC
March 2019
4 Reads

Comparison of Early Effectiveness of Three Different Intervention Methods in Patients with Chronic Orofacial Pain: A Randomized, Controlled Clinical Trial.

Pain Res Manag 2019 11;2019:7954291. Epub 2019 Mar 11.

Chair and Department of Dental Prosthetics, Pomeranian Medical University, Szczecin, Poland.

Background: Occlusal appliances are still widely used instruments in the management of orofacial pain in dentistry, yet alone or as a part of multimodal therapy. However, some of those modalities have been lacking thorough randomized assessment, and there is a conflicting evidence available. It is hypothesized that pain symptoms might improve faster and in more tangible way due to combined therapy. Read More

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https://www.hindawi.com/journals/prm/2019/7954291/
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http://dx.doi.org/10.1155/2019/7954291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432695PMC
March 2019
2 Reads

Differences between palpation and static/dynamic tests to diagnose painful temporomandibular disorders in patients with Lyme disease.

Clin Oral Investig 2019 Apr 13. Epub 2019 Apr 13.

Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Objectives: The aim was to determine the frequency of Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)-based pain diagnoses and dynamic/static tests-based pain diagnoses, and to assess the agreement of palpation tests with static/dynamic tests.

Materials And Methods: Eighty-six (N = 86) adult patients with Lyme disease (mean age 57.0 ± 14. Read More

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http://dx.doi.org/10.1007/s00784-019-02890-4DOI Listing
April 2019
1 Read

Effectiveness of hot herbal compress versus topical diclofenac in treating patients with myofascial pain syndrome.

J Tradit Complement Med 2019 Apr 1;9(2):163-167. Epub 2018 Jun 1.

Chulabhorn International College of Medicine, Thammasat University, Pathumthani, 12121, Thailand.

Myofascial pain syndrome (MPS) is a chronic pain disorder which causes musculoskeletal pain and inflammation in the body's soft tissues. Thai Traditional Medicine uses hot herbal compresses as analgesic and anti-inflammatory treatment. There are no scientifically validated follow-up studies after treatment using hot herbal compresses. Read More

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http://dx.doi.org/10.1016/j.jtcme.2018.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435979PMC
April 2019
2 Reads

Effects of Local Ischemic Compression on Upper Limb Latent Myofascial Trigger Points: A Study of Subjective Pain and Linear Motor Performance.

Rehabil Res Pract 2019 4;2019:5360924. Epub 2019 Mar 4.

Intelligent & Interactive Systems Lab (SI Lab), School of Engineering in Computer Systems, Universidad de Las Américas, Quito, Ecuador.

Objective: To analyse the effect of the manual ischemic compression (IC) on the upper limb motor performance (MP) in patients with LTrPs.

Materials And Methods: A quasiexperimental study was performed in twenty subjects allocated to either patients group with LTrPs (PG, n=10) or healthy group with no symptoms (HG, n=10). Subjective pain and linear MP (movement time and Fitts' Law) were assessed before and after a linear tapping task. Read More

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http://dx.doi.org/10.1155/2019/5360924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425406PMC
March 2019
5 Reads

Comparison of the Efficacies of Dry Needling and Botox Methods in the Treatment of Myofascial Pain Syndrome Affecting the Temporomandibular Joint.

J Craniofac Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Otorhinolaryngology, University of Health Sciences, Adana City Hospital, Aydin, Turkey.

Background: To compare the efficacies of botulinum toxin-A injection and dry needling methods in the treatment of patients with myofascial pain syndrome (MPS) in the temporomandibular joint (TMJ).

Methods: In this prospective study, 40 MPS patients (29 women, 11 men) were randomly assigned to abobotulinum toxin-A injection (Group 1, n = 20) or dry needling (Group 2, n = 20) groups. Pain, crepitation, functional limitation, maximum mouth opening, jaw strength were evaluated at baseline and 6 weeks, and the results in both groups were compared. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005473DOI Listing
April 2019
3 Reads

Autonomic neurophysiologic implications of disorders comorbid with bladder pain syndrome vs myofascial pelvic pain.

Neurourol Urodyn 2019 Apr 4. Epub 2019 Apr 4.

Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin.

Aims: The neuropathophysiology of a debilitating chronic urologic pain condition, bladder pain syndrome (BPS), remains unknown. Our recent data suggests withdrawal of cardiovagal modulation in subjects with BPS, in contrast to sympathetic nervous system dysfunction in another chronic pelvic pain syndrome, myofascial pelvic pain (MPP). We evaluated whether comorbid disorders differentially associated with BPS vs MPP shed additional light on these autonomic differences. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23995
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http://dx.doi.org/10.1002/nau.23995DOI Listing
April 2019
2 Reads

Platelet-Rich Plasma Intramuscular Injections - Antinociceptive Therapy in Myofascial Pain Within Masseter Muscles in Temporomandibular Disorders Patients: A Pilot Study.

Front Neurol 2019 19;10:250. Epub 2019 Mar 19.

Department of Temporomandibular Disorders, Medical University of Silesia, Katowice, Poland.

The objective of this study was to explore the nociceptive effect of platelet-rich plasma (PRP) intramuscular injections in myofascial pain of masseter muscles in patients with TMD. Patients diagnosed with myofascial pain were assessed for eligibility for the study. Masticatory muscle disorder was diagnosed based on the Research Diagnostic Criteria for Temporomandibular Disorders (Ia and Ib). Read More

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http://dx.doi.org/10.3389/fneur.2019.00250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433706PMC
March 2019
3 Reads

Non-invasive Diagnostics for Extremity Compartment Syndrome following Traumatic Injury: A State of the Art Review.

J Trauma Acute Care Surg 2019 Apr 1. Epub 2019 Apr 1.

US Army Institute of Surgical Research, Fort Sam Houston, TX.

Acute compartment syndrome (ACS) is a serious medical condition that can occur following traumatic injury to an extremity. If left undiagnosed, ACS can eventuate in amputation of the limb or even death. Because of this, fasciotomy to release the pressure within the muscle and restore tissue perfusion is often performed upon suspicion of ACS, as the sequelae to fasciotomy are less severe than those associated with not performing the fasciotomy. Read More

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http://dx.doi.org/10.1097/TA.0000000000002284DOI Listing
April 2019
5 Reads

A soft massage tool is advantageous for compressing deep soft tissue with low muscle tension: Therapeutic evidence for self-myofascial release.

Complement Ther Med 2019 Apr;43:312-318

Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea. Electronic address:

Objectives: This study aimed to compare the amount of deep tissue pressure and muscle relaxation between a soft inflatable rubber ball (SIRB) and a hard massage ball (HMB).

Design: Crossover experimental design study.

Interventions: Thirty participants with neck pain (age: 65. Read More

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http://dx.doi.org/10.1016/j.ctim.2019.01.001DOI Listing
April 2019
2 Reads

Dry needling versus trigger point compression of the upper trapezius: a randomized clinical trial with two-week and three-month follow-up.

J Man Manip Ther 2018 Oct 15:1-10. Epub 2018 Oct 15.

c Department of Physical Therapy , North Georgia College and State University , Dahlonega , GA , USA.

Objectives: The purpose of this randomized controlled trial was to investigate the long-term clinical effect of dry needling with two-week and three-month follow up, on individuals with myofascial trigger points in the upper trapezius muscle.

Methods: A sample of convenience (33 individuals) with a trigger point in the upper trapezius muscle, participated in this study. The individuals were randomly assigned to two groups: trigger point compression (N = 17) or dry needling (N = 16). Read More

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http://dx.doi.org/10.1080/10669817.2018.1530421DOI Listing
October 2018
3 Reads

The effectiveness of trigger point treatment in rotator cuff pathology: A randomized controlled double-blind study.

J Back Musculoskelet Rehabil 2019 Mar 20. Epub 2019 Mar 20.

Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Background: Studies have emphasized the importance of the presence of myofascial trigger points (MTrPs) in patients with rotator cuff pathologies and the high frequency of MTrPs in rotator cuff muscles.

Objective: Evaluate the effectiveness of the treatment of active MTrPs in patients with rotator cuff pathologies.

Methods: Fifty-three patients with rotator cuff tear were randomized into two groups. Read More

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http://dx.doi.org/10.3233/BMR-181306DOI Listing
March 2019
1 Read

Efficacy of Topical Vibratory Stimulation for Reducing Pain during Trigger Point Injection to the Gastrocnemius: A Randomized Controlled Trial.

Arch Phys Med Rehabil 2019 Mar 26. Epub 2019 Mar 26.

Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon.

Objective: To evaluate the efficacy of topical vibratory stimulation for reducing pain during trigger point injection (TPI).

Design: Double-blind randomized placebo-controlled clinical trial SETTING: Tertiary care university hospital.

Participants: A total of 136 participants were randomly recruited from among patients with myofascial pain syndrome who were scheduled for TPI. Read More

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http://dx.doi.org/10.1016/j.apmr.2019.02.010DOI Listing
March 2019
2 Reads

[Effect of warm acupuncture on pathological morphology and pain-induced inflammatory mediators in rats with myofascial pain trigger].

Zhongguo Gu Shang 2019 Mar;32(3):260-264

Changping Hospital of Dongguan City, Dongguan 523573, Guangdong, China;

Objective: Based on the establishment of a rat model of trigger point, this study was to intervene with warm acupuncture, and to evaluate the effect on pathological morphology and pain-induced inflammation of the rat model by microscopic pathology and microdialysis.

Methods: Sixty-four SD rats were randomly divided into group A (blank control), group B (model control) and group C (model and intervention control). Groups A and B were divided into 3 groups (A0, A1, A2 and B0, B1, B2), the group C was divided into 2 groups (C1 and C2). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.03.013DOI Listing
March 2019
1 Read

Factors Associated With Nonadherence to Pelvic Floor Physical Therapy Referral for the Treatment of Female Pelvic Pain.

Phys Ther 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, 1161 21st Ave, MCN B-1100, Nashville, TN 37232 (USA).

Background: Patients with pelvic pain due to pelvic floor myofascial pain syndrome are often referred for pelvic floor physical therapy, the primary treatment option. However, many patients do not adhere to the treatment.

Objective: The purpose of this study was to examine the adherence rate and outcomes of patients referred for physical therapy for pelvic floor myofascial pain syndrome, and identify risk factors associated with nonadherence. Read More

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http://dx.doi.org/10.1093/ptj/pzz050DOI Listing
March 2019
1 Read

Effectiveness of dry needling on the local pressure pain threshold in patients with masticatory myofascial pain. Systematic review and preliminary clinical trial.

Cranio 2019 Mar 27:1-9. Epub 2019 Mar 27.

c Department of Neurology, School of Medicine , State University of Rio de Janeiro and Federal University of Rio de Janeiro , Rio de Janeiro , Brasil.

Objective: To systematically review the literature to identify controlled clinical trials evaluating the effectiveness of deep dry needling (DDN) in the treatment of patients with chronic masticatory myofascial pain (MMP).

Methods: The sample size for a clinical trial was calculated and involved five patients who consecutively presented for treatment of MMP. The percentage of change in the means of three consecutive measurements of the pressure pain threshold (PPT) of myofascial trigger points (MTPs) was calculated and the statistical significance of this difference evaluated using the Wilcoxon test. Read More

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http://dx.doi.org/10.1080/08869634.2019.1588518DOI Listing
March 2019
1 Read

Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis.

J Oral Facial Pain Headache 2019 Mar 20. Epub 2019 Mar 20.

Aims: To evaluate the effectiveness of local anesthetic trigger point injections in adults with myofascial pain syndrome (MPS) in the head, neck, and shoulder regions compared to dry needling, placebo, and other interventions.

Methods: Randomized controlled trials using local anesthetic injections in adults diagnosed with MPS were included. The Cochrane Library, MEDLINE via PubMed, Web of Science, and EMBASE libraries were searched. Read More

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http://dx.doi.org/10.11607/ofph.2277DOI Listing
March 2019
2 Reads

Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial.

Rev Assoc Med Bras (1992) 2019 Feb;65(2):156-164

Department of Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine. Rey Juan Carlos University, Madrid, Spain.

Background: To date, there is a lack of prior studies on the use of capacitive resistive monopolar radiofrequency (RF) to treat neck pain. The objective of this study was to investigate the immediate effect of capacitive resistive monopolar radiofrequency (RF=448 kHz), in comparison with a placebo, on (1) reducing neck pain intensity at myofascial trigger points (MTrP), (2) decreasing neck disability and (3) improving cervical range of motion (CROM).

Methods: A randomized, double-blind, placebo-controlled trial (NCT02353195) was carried out. Read More

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http://dx.doi.org/10.1590/1806-9282.65.2.156DOI Listing
February 2019
6 Reads

The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial.

J Back Musculoskelet Rehabil 2019 Mar 1. Epub 2019 Mar 1.

Physiology Department, Faculty of Medical, Tabriz University of Technology, Tabriz, Iran.

Background: Chronic neck pain is associated with various myofascial trigger points (MTrPs).

Objective: A single-blind randomized clinical trial was designed to compare the effects of extracorporeal shock wave therapy (ESWT) with dry needling (DN) techniques on the upper trapezius muscle trigger point in patients with non-specific neck pain (NSNP).

Methods: Seventy patients with NSNP and active MTrPs of the upper trapezius muscle were randomly divided into two groups: an ESWT group (n= 35) and a DN group (n= 35). Read More

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http://dx.doi.org/10.3233/BMR-181289DOI Listing
March 2019
1 Read

Kinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study.

J Back Musculoskelet Rehabil 2019 Mar 1. Epub 2019 Mar 1.

Department of Physical Medicine and Rehabilitation, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.

Background: Although a number of therapeutic interventions for trigger-point inactivation have been studied, it remains controversial which intervention is better.

Objective: To compare the effectiveness of the kinesio taping and dry needling methods in patients with trigger-point related myofascial pain syndrome of the upper trapezius muscle.

Methods: A total of 42 patients were randomly allocated to the kinesio taping group (n= 23) and dry needling group (n= 19). Read More

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http://dx.doi.org/10.3233/BMR-181162DOI Listing
March 2019
1 Read

Polypropylene Mesh Repair of Traumatic Hernia of the Vastus Lateralis: Case Report and Review.

Plast Reconstr Surg Glob Open 2019 Feb 25;7(2):e2101. Epub 2019 Feb 25.

CIC (Centre d'Image Corporelle), Nyon, Switzerland.

Myofascial herniations of the lower limb are a rare cause of chronic nerve compression and pain. They may have congenital or traumatic origin, and the tibialis anterior muscle is the most frequent localization. A few cases will require operative management. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416141PMC
February 2019
1 Read

Severity and bother of prolapse symptoms in women with pelvic floor myofascial pain.

Int Urogynecol J 2019 Mar 14. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Rush University Medical Center, 1725 W. Harrison Street, 2 Kellogg, Chicago, IL, 60612, USA.

Introduction And Hypothesis: Our aim was to assess severity and bother of pelvic organ prolapse (POP) in women with pelvic floor myofascial pain (PFMP).

Methods: We conducted a retrospective chart review assessing new patients within a hospital-based multispecialty group from January 2010 through September 2014 using the International Classification of Diseases, 9th edition, diagnosis codes for POP. Data from Pelvic Organ Prolapse Quantification (POP-Q) system assessment, Pelvic Floor Distress Inventory-20, (PFDI-20), and clinical assessment of pelvic floor muscles were collected. Read More

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http://dx.doi.org/10.1007/s00192-019-03916-xDOI Listing
March 2019
2 Reads

Effectiveness of Ultrasound Therapy on Myofascial Pain Syndrome of the Upper Trapezius: Randomized, Single-Blind, Placebo-Controlled Study.

Arch Rheumatol 2018 Dec 23;33(4):418-423. Epub 2018 Mar 23.

Department of Physical Medicine and Rehabilitation, İstanbul Physical Medicine And Rehabilitation Training Research Hospital, İstanbul, Turkey.

Objectives: This study aims to evaluate the effectiveness of conventional ultrasound (US) therapy in the treatment of myofascial pain syndrome.

Patients And Methods: Fifty-four patients (23 males, 31 females; mean age 29.8±5. Read More

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http://dx.doi.org/10.5606/ArchRheumatol.2018.6538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409164PMC
December 2018

Acute Effects of Pectoralis Minor Self Mobilization on Shoulder Motion and Posture: A Blinded and Randomized Placebo-Controlled Study in Asymptomatic Individuals.

Authors:
Kevin Laudner

J Sport Rehabil 2019 Mar 12:1-21. Epub 2019 Mar 12.

1 School of Kinesiology and Recreation, Illinois State University, Normal, IL.

Context:: Tightness of the pectoralis minor is a common characteristic that has been associated with aberrant posture and shoulder pathology. Determining conservative treatment techniques for maintaining and lengthening this muscle are critical. Although some gross stretching techniques have been proven effective, there are currently no empirical data regarding the effectiveness of self-myofascial release for treating tightness of this muscle. Read More

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http://dx.doi.org/10.1123/jsr.2018-0220DOI Listing
March 2019
1 Read

Self-Myofascial Release of the Superficial Back Line Improves Sit-and-Reach Distance.

J Sport Rehabil 2019 Mar 12:1-19. Epub 2019 Mar 12.

1 School of Kinesiology and Recreation, Illinois State University, Normal, IL.

Context:: Decreased hamstring flexibility can lead to a plethora of musculoskeletal injuries, including low back pain, hamstring strains, and patellofemoral pain. Lack of flexibility may be the result of myofascial adhesions. The fascia connected to the hamstrings is part of the superficial back line that runs from the cranium to the plantar aspect of the foot. Read More

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http://dx.doi.org/10.1123/jsr.2018-0306DOI Listing
March 2019
4 Reads

Effectiveness of active soft tissue release and trigger point block for the diagnosis and treatment of low back and leg pain of predominantly gluteus medius origin: a report of 115 cases.

J Phys Ther Sci 2019 Feb 7;31(2):141-148. Epub 2019 Feb 7.

Kichijoji Taishido Manual Medicine Office, Japan.

[Purpose] Ineffective and prolonged treatment of low back pain is a major social problem resulting in a huge economic burden. The effectiveness of back pain and/or leg pain treatment using active soft tissue release alone or in combination with a trigger point block was examined. [Participants and Methods] Among 115 patients who underwent medical examination at Senshunkai Hospital during the study period, information on treatment outcomes using active soft tissue release alone or in combination with a trigger point block, location of myofascial trigger points, and duration of treatment were extracted for patients with low back pain, leg pain, or low back pain with leg pain. Read More

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http://dx.doi.org/10.1589/jpts.31.141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382483PMC
February 2019
1 Read

Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

Curr Pain Headache Rep 2019 Mar 11;23(3):23. Epub 2019 Mar 11.

Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, 70112, USA.

Purpose Of Review: Low back pain encompasses three distinct sources: axial lumbosacral, radicular, and referred pain. Annually, the prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of US adults is as high as 65-80%.

Recent Findings: Patient history, physical exam, and diagnostic testing are important components to accurate diagnosis and identification of patient pathophysiology. Read More

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http://dx.doi.org/10.1007/s11916-019-0757-1DOI Listing
March 2019
2 Reads

Improving Clinical Outcomes and Quality of Life with Massage Therapy in Youth and Young Adults with Cystic Fibrosis: a Pilot Study.

Int J Ther Massage Bodywork 2019 Mar 4;12(1):4-15. Epub 2019 Mar 4.

Patient Services, Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Background: Cystic Fibrosis (CF) is an autosomal recessive disorder of exocrine glands characterized by abnormal production of thick mucus, primarily in bronchi of the lungs. Individuals experience recurrent respiratory infections, increased work of breathing, cough and musculoskeletal changes with pain. Previous research found that massage therapy (MT) decreased pain, muscle tightness, and anxiety in individuals with CF, but did not use valid/reliable measurements of quality of life (QOL). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398987PMC
March 2019
1 Read

Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points.

Am J Phys Med Rehabil 2019 Mar 1. Epub 2019 Mar 1.

From the Department of Rehabilitation Medicine, Guangdong Second Provincial General Hospital, Southern Medical University, Guangzhou, PR China (SL); Department of Rehabilitation Medicine, Lianjian People's Hospital, Guangdong, PR China (ZZ); Departments of Rehabilitation (SL,CL,SK,CL,SW,CM) and Ultrasonic (JR), Sun Yat-sen Memorial Hospital, Guangzhou, PR China; Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, PR China (WX).

Objectives: To compare the efficacy of radial extracorporeal shock wave therapy (ESWT) and dry needling (DN) in the treatment of myofascial trigger points (MTrPs) in the upper trapezius muscle.

Design: A total of 65 patients with MTrPs were randomly divided into ESWT group (n=32) and DN group (n=33). Patients received 3 weeks of treatment at one-week intervals in both groups Visual analogue scale (VAS), pressure pain threshold (PPT), Neck Disability Index (NDI) and shear modulus were evaluated pre-treatment, immediately post the first therapy, 1-month and 3-month after the completion of the third therapy. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001173DOI Listing
March 2019
1 Read

Ultrasound imaging of the upper trapezius muscle for safer myofascial trigger point injections: a case report.

Phys Sportsmed 2019 Mar 1:1-2. Epub 2019 Mar 1.

b Department of Physical and Rehabilitation Medicine , Hacettepe University Medical School , Ankara , Turkey.

Chronic myofascial pain of the cervical spine and shoulders is commonplace in clinical practice and is often related to adverse posture during work conditions in our lifestyle. The diagnosis is clinical and injections of the neck/shoulder muscles, especially the upper trapezius, are commonly performed in a blinded way. The anatomy of the posterior compartment of the neck is complicated, and several neurovascular structures are located nearby the trapezius and levator scapulae muscles in the inter-fascial planes. Read More

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http://dx.doi.org/10.1080/00913847.2019.1589105DOI Listing
March 2019
4 Reads

Ultrasound-Guided Dry Needling As a Treatment For Postmastectomy Pain Syndrome - A Case Series of Twenty Patients.

Indian J Palliat Care 2019 Jan-Mar;25(1):93-102

Ashirvad Institute for Pain Management and Research, Mumbai, Maharashtra, India.

Context: Existing interventions for postmastectomy pain syndrome (PMPS) address the neural component while overlooking a possible myofascial component.

Aim: The aim of the study is to investigate the myofascial contribution to PMPS, by examining the effectiveness of myofascial trigger point release by ultrasound-guided dry needling (USGDN).

Patients And Methods: This retrospective review assessed the efficacy of USGDN in addressing myofascial pain in twenty consecutive patients with treatment-refractory PMPS. Read More

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http://dx.doi.org/10.4103/IJPC.IJPC_24_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388608PMC
March 2019
5 Reads

The association of genetic polymorphisms in serotonin transporter and catechol-O-methyltransferase on temporomandibular disorders and anxiety in adolescents.

J Oral Rehabil 2019 Feb 27. Epub 2019 Feb 27.

Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil.

Background: Temporomandibular disorder (TMD) is a multifactorial condition involving environmental, psychological and genetic factors.

Objective: The aim of this case-control study was to evaluate the influence of genetic polymorphisms in 5HTT and COMT on TMD and anxiety in adolescents.

Methods: TMD was diagnosed and classified according to the RDC/TMD criteria. Read More

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http://dx.doi.org/10.1111/joor.12783DOI Listing
February 2019
5 Reads

Latin American and Caribbean consensus on noninvasive central nervous system neuromodulation for chronic pain management (LAC-NIN-CP).

Pain Rep 2019 Jan-Feb;4(1):e692. Epub 2019 Jan 9.

Department of Neurology, Pain Center, Universidade de São Paulo, São Paulo, Brazil.

Introduction: Chronic pain (CP) is highly prevalent and generally undertreated health condition. Noninvasive brain stimulation may contribute to decrease pain intensity and influence other aspects related to CP.

Objective: To provide consensus-based recommendations for the use of noninvasive brain stimulation in clinical practice. Read More

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http://dx.doi.org/10.1097/PR9.0000000000000692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370142PMC
January 2019
1 Read

Voluntary biting behavior as a functional measure of orofacial pain in mice.

Physiol Behav 2019 May 21;204:129-139. Epub 2019 Feb 21.

Department of Neural and Pain Sciences, School of Dentistry, & Program in Neuroscience, University of Maryland, Baltimore, MD 21201, USA. Electronic address:

Introduction: Pain-related behavior secondary to masticatory function can be assessed with the rodent bite force model. A reduction of the bite force has been shown to be related to pain associated with the masseter muscle and jaw activity, while an increase in bite force suggests improvement of muscle function and less pain. To evaluate the usefulness of the bite force measure in studying long-lasting orofacial pain we analyzed biting parameters during prolonged myofascial pain induced by ligation injury of the masseter muscle tendon (TL) in mice. Read More

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http://dx.doi.org/10.1016/j.physbeh.2019.02.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475465PMC
May 2019
1 Read

Non-pharmacological treatment of chronic neck-shoulder myofascial pain in patients with forward head posture.

Wiad Lek 2019;72(1):84-88

Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine.

Objective: Introduction: Today, chronic pain remains a pressing medical and socio-economic problem, despite the rapid development of medical technologies, the presence of a vast arsenal of drug and non-drug treatments. Estimates for chronic pain prevalence ranged from 8% to 60%. At the same time, about 40% of patients report insufficient effectiveness in the treatment of chronic pain syndrome. Read More

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January 2019
4 Reads

Soft Tissue and Bony Injuries Attributed to the Practice of Yoga: A Biomechanical Analysis and Implications for Management.

Mayo Clin Proc 2019 Mar 18;94(3):424-431. Epub 2019 Feb 18.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.

Objective: To analyze injuries that were directly associated with yoga practice and identify specific poses that should be avoided in patients with osteopenia or osteoporosis.

Patients And Methods: We retrospectively reviewed the medical records of patients with injuries that were primarily caused by yoga. Patients were seen from January 1, 2006, through December 31, 2018. Read More

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http://dx.doi.org/10.1016/j.mayocp.2018.09.024DOI Listing
March 2019
3 Reads

Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: Randomized controlled trial.

Clin Biomech (Bristol, Avon) 2019 Mar 14;63:27-33. Epub 2019 Feb 14.

Department of Anatomy and Human Embryology, Universitat de València, Valencia, Spain.

Background: Flexion-relaxation response of the lumbar erector spinae has been previously studied after different interventions such as exercise programs or spinal manipulation, in subjects with chronic low back pain. The objective of the study was to investigate the effects of an isolated myofascial release protocol on erector spinae myoelectric activity and lumbar spine kinematics in chronic low back pain.

Methods: Thirty-six participants, with nonspecific chronic low back pain, were randomized to myofascial release group (n = 18) receiving four sessions of myofascial treatment, each lasting 40 min, and to control group (n = 18) receiving a sham myofascial release. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2019.02.009DOI Listing
March 2019
2 Reads

Association between child maltreatment and central sensitivity syndromes: a systematic review protocol.

BMJ Open 2019 Feb 19;9(2):e025436. Epub 2019 Feb 19.

School of Nursing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Introduction: A growing body of evidence is identifying the link between a history of child maltreatment and a variety of adverse health outcomes ultimately leading to significant social and healthcare burden. Initial work has identified a potential association between child maltreatment and the development of a selection of somatic and visceral central sensitivity syndromes: fibromyalgia, chronic fatigue syndrome, temporomandibular joint disorder, chronic lower back pain, chronic neck pain, chronic pelvic pain, interstitial cystitis, vulvodynia, chronic prostatitis, tension-type headache, migraine, myofascial pain syndrome, irritable bowel syndrome and restless legs syndrome.

Methods And Analysis: Primary electronic searches will be performed in the Embase, MEDLINE, PubMed, Scopus, PyscINFO, CINAHL and Cochrane Library databases and a number of Grey Literature sources including child protection and paediatric conference proceedings. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02543
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http://dx.doi.org/10.1136/bmjopen-2018-025436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368161PMC
February 2019
6 Reads

[Temporomandibular disorder and cervicalgia: pathophysiology underlying the comorbidity with chronic migraine].

Zh Nevrol Psikhiatr Im S S Korsakova 2019;119(1):17-22

Sechenov First Moscow State Medical University, Moscow, Russia.

Aim: To analyze the prevalence of various clinical forms of temporomandibular disorder (TMD) and cervicalgia in episodic (EM) and chronic migraine (CM).

Material And Methods: Ninety patients with CM and 42 patients with EM as defined by the International Classification of Headache Disorders (ICHD)-3 beta were recruited. TMD and sleep bruxism were diagnosed according to the DC/TMD criteria and the International Classification of Sleep Disorders (ICSD-R), respectively. Read More

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http://dx.doi.org/10.17116/jnevro201911901117DOI Listing
January 2019
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Immediate effects of self-myofascial release on latent trigger point sensitivity: a randomized, placebo-controlled trial.

Biol Sport 2018 Dec 31;35(4):349-354. Epub 2018 Aug 31.

Goethe University Frankfurt am Main, Department of Sports Medicine, Frankfurt am Main.

Latent myofascial trigger points (MTrP) have been linked to several impairments of muscle function. The present study was conducted in order to examine whether a single bout of self-myofascial release using a foam roller is effective in reducing MTrP sensitivity. Fifty healthy, pain-free subjects (26. Read More

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http://dx.doi.org/10.5114/biolsport.2018.78055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358529PMC
December 2018
1 Read

Pelvic floor myofascial pain in patients with symptoms of urinary tract infection.

Int J Gynaecol Obstet 2019 May 6;145(2):205-211. Epub 2019 Mar 6.

Department of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center, Maywood, IL, USA.

Objective: To correlate lower urinary tract symptoms typically associated with a urinary tract infection (UTI) with physical examination findings of pelvic floor myofascial pain (PFMP).

Methods: This retrospective review included all new patients presenting to a urogynecology clinic between August 2 and December 19, 2016. Patients completed validated questionnaires, had a catheterized urine specimen, and underwent pelvic examination. Read More

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http://dx.doi.org/10.1002/ijgo.12784DOI Listing
May 2019
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Trigger Point Sensitivity Is a Differentiating Factor between Cervicogenic and Non-Cervicogenic Headaches: A Cross-Sectional, Descriptive Study.

Physiother Can 2018 ;70(4):323-329

Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

A common factor in all forms of headache is the presence of myofascial trigger points (TrPs). The aim of this study was to compare the presentation of patients with cervicogenic headaches and patients with non-cervicogenic headaches in the sensitivity of TrPs in their upper trapezius, sternocleidomastoid, temporalis, and posterior cervical muscles. This was a descriptive, cross-sectional study. Read More

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http://dx.doi.org/10.3138/ptc.2017-38DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361411PMC
January 2018
4 Reads

Prevalence of Myofascial Trigger Points in Poststroke Patients With Painful Shoulders: A Cross-Sectional Study.

PM R 2019 Feb 7. Epub 2019 Feb 7.

Department of Clinical Research, IRCCS Don Carlo Gnocchi Foundation, Milan, Italy.

Background: In patients with stroke, hemiplegic shoulder pain can be a major problem. One source of shoulder pain can be myofascial trigger points (MTrPs).

Objective: To determine the prevalence of myofascial trigger points (MTrPs) and the correlation between MTrPs and pain and function in patients presenting with shoulder pain following a stroke. Read More

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http://dx.doi.org/10.1002/pmrj.12123DOI Listing
February 2019
3 Reads
1.662 Impact Factor

Joint Hypermobility among Female Patients Presenting with Chronic Myofascial Pelvic Pain.

PM R 2019 Feb 6. Epub 2019 Feb 6.

Department of Obstetrics and Gynecology, Denver Health Medical Center, Denver, CO.

Background: Female chronic pelvic pain is estimated to affect up to 24% of adult women, many of whom have a component of myofascial pelvic pain. Although an association of joint hypermobility and pelvic pain has been hypothesized, limited data are available that estimate the prevalence of joint hypermobility in this population.

Objective: To estimate the prevalence of generalized hypermobility spectrum disorder (G-HSD) among female patients with chronic myofascial pelvic pain and examine the association between G-HSD and other frequent pelvic pain-associated complaints. Read More

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http://dx.doi.org/10.1002/pmrj.12131DOI Listing
February 2019
4 Reads

Temporal Summation of Painful Heat Stimulation Is Facilitated in Trigeminal and Extratrigeminal Regions in Painful Myofascial Temporomandibular Disorders: Evidence from a Case-Control Study.

J Oral Facial Pain Headache 2019 02 6. Epub 2019 Feb 6.

Aims: To determine whether patients with painful myofascial temporomandibular disorders (TMD) demonstrate facilitated temporal summation (TS) responses to painful heat stimuli applied to the painful trigeminal and extratrigeminal regions and whether there is a side difference in the trigeminal region for myofascial TMD pain patients compared to healthy controls.

Methods: Twenty female Chinese myofascial TMD pain patients and 20 age-matched female volunteers participated in this case-control study. Thermal detection thresholds, thermal pain thresholds, and TS of 20 repetitive noxious thermal stimuli were measured on the skin above the masseter muscle on both sides and the thenar eminence of the less painful side/dominant hand. Read More

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http://dx.doi.org/10.11607/ofph.2248DOI Listing
February 2019
4 Reads